An evaluation of the Garren-Edwards diet and behavior modification program

This study evaluated the efficacy of the Garren-Edwards Behavior Modification Program, which uses the Garren-Edwards Gastric Bubble as an adjunct to treatment. Group therapy sessions were conducted with 23 morbidly obese subjects for 6 months on a biweekly basis. Each therapy session used a five-stage problem-solving sequence designed to facilitate adaptive behavioral alternatives. In evaluating weight change, a multivariate analysis of variance was conducted along with two preplanned orthogonal comparisons. Patients lost significant amounts of weight between initial to 3-month (p<.0001) and 3- to 6-month intervals (p<0001). A similar treatment effect was noted in an additional sample of 24 morbidly obese subjects following 3 months of treatment (p<0005). The findings support the value of longer goal-oriented programs in promoting continued weight loss. Implications for treatment process and therapist interventions prompted by this new format are discussed.     

A benevolent conceptualization of marital power: The case of depression

Treatment of the depressed client with low self-esteem, external locus of control, and an absent spouse often is frustrating due to the limitations of modifying the social context. An approach to the problem using a systemic view which is based on examining the notion of power and examining the problems in their context is presented. Interventions which sidestep the temptation of emphasizing self-esteem of the client and, instead, utilize client strengths and interactional dynamics within the marriage are presented.     

Effect of social support on the stress-burnout relationship

Business organizations have become interested in recent years in the role of social support in reducing the negative effect of stress. The purpose of this research is to examine the effects of two types of social support (i.e., job and life support) on the relationships between job and life stress and burnout. Participants consisted of 270 males and 254 females. For both males and females job stress and life stress correlate positively with burnout, while job and life support were negatively correlated with burnout. The hypothesis that social support would moderate stress-burnout relationships was not supported. Neither job support nor life support moderated job stress or life stress-burnout relationships. Females exhibited significantly higher levels of burnout, job stress, and life stress than males; however, there was no difference between males and females in the amount of social support received.     

Plekhanov on the role of the individual in history

This essay critically assesses Plekhanov's famous article on the role of the individual in history. Part I explicates his treatment of the problem of free will and determinism and argues that it is unsatisfactory. The whole issue, however, is held to be largely irrelevant to Marxism. Part II then turns to the question of the explanatory weight given to individual action by historical materialism. Plekhanov's discussion of this issue is more insightful, and the essay endeavors to distinguish between the strong and weak points of his analysis in order to lay the foundations for a more adequate handling of the subject.     

Effects of male social status on reproductive success and on behavior in mice (Mus musculus)

Differences in reproduction as well as in behavior in the presence of females were evaluated according to dominant and subordinate male rank in albino mice, in the temporary absence of each male's antagonist. Dominant males reproduced more successfully than subordinate males. Subordinate males were generally inactive, except for displacement activities, during the first 15 min they were exposed to female partners. These findings suggest that mechanisms other than male-male interference or mating order may be operating or influencing behavior and reproductive results.     

Daily stress and anxiety and their relation to daily fluctuations of symptoms in asthma and chronic obstructive pulmonary disease (COPD) patients

Although stress and anxiety have long been assumed to play an exacerbatory role in asthma, no study has systematically documented that daily exacerbations of asthma symptoms are related to stress and/or anxiety. In this study, 24 airways obstruction patients (12 asthmatics and 12 chronic obstructive pulmonary disease patients) were instructed to monitor the severity of daily respiratory symptoms. In addition, subjects recorded their daily anxiety level and the number and perceived impact of daily stressors. The results showed that although there were differences between high- and low-stress days for both groups, there were no differences between groups on symptom severity or between high- and low-anxiety days, as measured by the State-Trait Anxiety Inventory (STAI). Thus, although the number and impact of daily stressors were found to be directly associated with the severity of asthma symptoms, anxiety does not appear to have a direct role in the exacerbation of asthma. The findings failed to support the anxiety theory of asthma but provided an explanation for the poor results obtained in previous treatment studies which employed anxiety management with asthmatics.     

The Multilevel Conception of Intentionality: Implications for counselor training

Counseling training programs have failed to differentiate between and among behavioral, cognitive, and unconsciousness dimesnsions. This omission has resulted in confusion and competition in many counseling curricula in that valuable programs are competing for space rather than being integrated systematically. This article proposes a multilevel model of intentionality which integrates the several aspects of the counselor-client relationship. In turn, this integration of behavioral, cognitive, and unconscious dimensions will have important applications in counselor daily practice.